Immediate Funeral & Cremation Help

Immediate Need Form

"Atlantic Cremation Society made a difficult time much easier for our family. Their compassionate approach and transparent pricing were exactly what we needed."

- Sarah, Baltimore

"The team at Atlantic Cremation Society provided us with the support and guidance we needed. Their empathetic service was a comfort during our time of grief."

- Mark, Salisbury

"Choosing Atlantic Cremation Society was the best decision we made. Their affordable services and understanding staff helped us honor our loved one with dignity."

- Emily, Baltimore

Personal Information of the Person Filling out the form

First Name*

Middle Name*

Last Name

Phone

Email

Relationship to the deceased

Do you have primary rights of disposition?*

Yes No

Personal Information of Deceased

Last Name*

Middle Name

First Name*

Date of Birth

Date of Death

Time of Death

Social Security Number

Preparation Information

Has a Doctor / Coroner Been Notified?

Yes No

Location of the deceased

Is the deceased ready to be taken into our care?

Yes No

Disposition Options

Physician Information

Name of Doctor Signing Death Certificate

Email Address*

Business Telephone

Street

City

State/Province

Zip/Postcode

Personal Information of Person Legally Responsible for Disposition

Last Name (Person Legally)

Middle Name (Person Legally)

First Name (Person Legally)

Relationship to Deceased

Street

City

State/Province

Zip/Postcode

Primary Phone Number

Secondary Phone Number

Best Time to Reach Via Phone

Do You Have a Prearrangement on File with Us?

Yes No

If Yes Under What Name?

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Atlantic Cremation Society is a cremation service provider that offers compassionate and affordable cremation services based in Middleton, serving clients across Baltimore, Salisbury, Annapolis, Frederick, Rockville, and Silver Spring.